CJN- 450/ 2025 - Vacancy for Clinical Investigator

Vacancy published date: 17/12/2025

Last date of application: 24/12/2025

Job Requirements:

• Qualification : BHMS/BAMS/BUMS/BPT/MPT
• B.Sc. Nursing and BDS with 1 year of corporate experience
• Experience: 06 months - 3 years
• Certification : CPC or Equivalent
• In-depth knowledge of Anatomy and Physiology.
• Proven good Analytical & comprehension skills
• Health Insurance knowledge, managed care experience

Job Descriptions:

• Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies
• Reviews prepay claims with corresponding medical records to determine payment accuracy
• Reviews applicable policies, CPT guidelines and contracts as they pertain to clinical review
• Performs additional projects as needed by the business or Client; analyzes data; meets with internal and external stakeholders as necessary for resolution
• Continuous monitoring of claim inventory in order to adhere to performance guarantees

Other Details:

Salary: Best In The Industry

Job Type: Full Time

Mode of Work: Work from Office

Shift: General

Process: Clinical Investigator

Bond: Not Applicable

Age: Below 35

Interview Mode: Onsite

No. of Vacancies: 15

Ability to commute/relocate: Hyderabad/ Noida

Selection process:

1.     Assessment

2.     Technical Round

3.     HR Discussion

Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions, please register for the post published.